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MEDINA-MEDS PHARMACY LLC

Company Details

Entity Name: MEDINA-MEDS PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Feb 2014 (11 years ago)
Document Number: L14000018868
FEI/EIN Number 46-5703361
Address: 4675 OLD PLEASANT HILL ROAD, KISSIMMEE, FL, 34759, US
Mail Address: 3956 TOWN CENTER BLVD, SUITE 528, ORLANDO, FL, 32837
ZIP code: 34759
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881094712 2014-08-28 2014-08-28 3956 TOWN CTR BLVD # 528, ORLANDO, FL, 328376103, US 4675 OLD PLEASANT HILL RD, KISSIMMEE, FL, 347593423, US

Contacts

Phone +1 407-748-0140

Authorized person

Name ROSEMARY MEDINA
Role PRESIDENT/MANAGER
Phone 4077480140

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH28259
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Agent

Name Role Address
MEDINA ROSEMARY Agent 3956 TOWN CENTER BLVD, ORLANDO, FL, 32837

Manager

Name Role Address
MEDINA ROSEMARY Manager 3956 TOWN CENTER BLVD SUITE 528, ORLANDO, FL, 32837

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-13 4675 OLD PLEASANT HILL ROAD, KISSIMMEE, FL 34759 No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-04-02
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-01-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State